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NPI Code Detail

MEDICARE: LIFEFORCE FAMILY CHIROPRACTIC PA

MEDICARE: LIFEFORCE FAMILY CHIROPRACTIC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871784272
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEFORCE FAMILY CHIROPRACTIC PA
Provider Business Mailing Address
First Line : 8734 W COUNTY RD 42
Second Line :
City : SAVAGE
State : MN
Zip : 55378
Country : US
Telephone Number : 952-746-4404
Fax Number :
Provider Business Practice Location Address
First Line : 8734 COUNTY ROAD 42 W
Second Line :
City : SAVAGE
State : MN
Zip : 55378-2561
Country : US
Telephone Number : 952-746-4404
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : DR. WADE ARNETT LOFTON
Credential : BS,DC,ICPA
Telephone Number : 952-746-4404
Provider Enumeration Date : 08/09/2007
Last Update Date : 12/10/2015

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Directions to “LIFEFORCE FAMILY CHIROPRACTIC PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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